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Africa should 'prepare for the worst' with virus, WHO says

Cara Anna | Hagadone News Network | UPDATED 4 years, 8 months AGO
by Cara Anna
| March 18, 2020 2:00 PM

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Ethiopians have their temperature checked for symptoms of the new coronavirus, at the Zewditu Memorial Hospital in the capital Addis Ababa, Ethiopia Wednesday, March 18, 2020. For most people, the new coronavirus causes only mild or moderate symptoms such as fever and cough and the vast majority recover in 2-6 weeks but for some, especially older adults and people with existing health issues, the virus that causes COVID-19 can result in more severe illness, including pneumonia. (AP Photo/Mulugeta Ayene)

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Somali schoolchildren walk home, while other people wear surgical masks, after the government announced the closure of schools and universities and banned large gatherings, following the announcement on Monday of the country's first case of the new coronavirus, in the capital Mogadishu, Somalia Wednesday, March 18, 2020. For most people, the new coronavirus causes only mild or moderate symptoms such as fever and cough and the vast majority recover in 2-6 weeks but for some, especially older adults and people with existing health issues, the virus that causes COVID-19 can result in more severe illness, including pneumonia. (AP Photo/Farah Abdi Warsameh)

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A woman looks at the few items left in the fresh meat and poultry fridges in a Johannesburg supermarket, Wednesday, March 18, 2020, amid panic-buying due to the coronavirus outbreak. For most people the virus causes only mild or moderate symptoms. For others it can cause more severe illness, especially in older adults and people with existing health problems. (AP Photo/Denis Farrell)

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Somali schoolchildren walk home, while other people wear surgical masks, after the government announced the closure of schools and universities and banned large gatherings, following the announcement on Monday of the country's first case of the new coronavirus, in the capital Mogadishu, Somalia Wednesday, March 18, 2020. For most people, the new coronavirus causes only mild or moderate symptoms such as fever and cough and the vast majority recover in 2-6 weeks but for some, especially older adults and people with existing health issues, the virus that causes COVID-19 can result in more severe illness, including pneumonia. (AP Photo/Farah Abdi Warsameh)

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A minibus taxi driver wearing a face musk looks on during his journey in Kwa-Thema east of Johannesburg, South Africa, Tuesday, March 17, 2020. President Cyril Ramaphosa said all schools will be closed for 30 days from Wednesday and he banned all public gatherings of more than 100 people. South Africa will close 35 of its 53 land borders and will intensify screening at its international airports. For most people, the new COVID-19 coronavirus causes only mild or moderate symptoms. For some it can cause more severe illness. (AP Photo/Themba Hadebe)

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A masked customer passes empty shelves stocking toilet paper in a Johannesburg supermarket Wednesday March 18, 2020, amid panic-buying due to the coronavirus outbreak. For most people the virus causes only mild or moderate symptons . For others is can cause more severe illness, especially in older adults and people with existing health problems. (AP Photo/Denis Farrell)

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Elderly customers line at the checkout point in a Johannesburg supermarket Wednesday, March 18, 2020, amid panic-buying due to the new coronavirus outbreak. For most people, the new coronavirus causes only mild or moderate symptoms. For some it can cause more severe illness. (AP Photo/Denis Farrell)

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Somali schoolchildren finish their lessons at school before leaving to go home, after the government announced the closure of schools and universities and banned large gatherings, following the announcement on Monday of the country's first case of the new coronavirus, in the capital Mogadishu, Somalia Wednesday, March 18, 2020. For most people, the new coronavirus causes only mild or moderate symptoms such as fever and cough and the vast majority recover in 2-6 weeks but for some, especially older adults and people with existing health issues, the virus that causes COVID-19 can result in more severe illness, including pneumonia. (AP Photo/Farah Abdi Warsameh)

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Somali men wear surgical masks on the street after after the government announced the closure of schools and universities and banned large gatherings, following the announcement on Monday of the country's first case of the new coronavirus, in the capital Mogadishu, Somalia Wednesday, March 18, 2020. For most people, the new coronavirus causes only mild or moderate symptoms such as fever and cough and the vast majority recover in 2-6 weeks but for some, especially older adults and people with existing health issues, the virus that causes COVID-19 can result in more severe illness, including pneumonia. (AP Photo/Farah Abdi Warsameh)

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A cleaner mops a floor in a Johannesburg supermarket Wednesday, March 18, 2020 as a measure against the new coronavirus. For most people, the new coronavirus causes only mild or moderate symptoms. For some it can cause more severe illness. (AP Photo/Denis Farrell)

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Customers pass empty shelves which stock toilet paper in a Johannesburg supermarket Wednesday, March 18, 2020 amid panic-buying due to the new coronavirus outbreak. For most people, the new coronavirus causes only mild or moderate symptoms. For some it can cause more severe illness. (AP Photo/Denis Farrell)

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A passenger peeps through a window whilst sitting inside a minibus taxi during their journey to home in Kwa-Thema east of Johannesburg, South Africa, Tuesday, March 17, 2020. President Cyril Ramaphosa said all schools will be closed for 30 days from Wednesday and he banned all public gatherings of more than 100 people. South Africa will close 35 of its 53 land borders and will intensify screening at its international airports. For most people, the new COVID-19 coronavirus causes only mild or moderate symptoms. For some it can cause more severe illness. (AP Photo/Themba Hadebe)

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Passengers sits inside a minibus taxi during their journey to home in Kwa-Thema east of Johannesburg, South Africa, Tuesday, March 17, 2020. President Cyril Ramaphosa said all schools will be closed for 30 days from Wednesday and he banned all public gatherings of more than 100 people. South Africa will close 35 of its 53 land borders and will intensify screening at its international airports. For most people, the new COVID-19 coronavirus causes only mild or moderate symptoms. For some it can cause more severe illness. (AP Photo/Themba Hadebe)

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Somali schoolchildren finish their lessons at school before leaving to go home, after the government announced the closure of schools and universities and banned large gatherings, following the announcement on Monday of the country's first case of the new coronavirus, in the capital Mogadishu, Somalia Wednesday, March 18, 2020. For most people, the new coronavirus causes only mild or moderate symptoms such as fever and cough and the vast majority recover in 2-6 weeks but for some, especially older adults and people with existing health issues, the virus that causes COVID-19 can result in more severe illness, including pneumonia. (AP Photo/Farah Abdi Warsameh)

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Ethiopians have their temperature checked for symptoms of the new coronavirus, at the Zewditu Memorial Hospital in the capital Addis Ababa, Ethiopia Wednesday, March 18, 2020. For most people, the new coronavirus causes only mild or moderate symptoms such as fever and cough and the vast majority recover in 2-6 weeks but for some, especially older adults and people with existing health issues, the virus that causes COVID-19 can result in more severe illness, including pneumonia. (AP Photo/Mulugeta Ayene)

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Ethiopians have their temperature checked for symptoms of the new coronavirus, at the Zewditu Memorial Hospital in the capital Addis Ababa, Ethiopia Wednesday, March 18, 2020. For most people, the new coronavirus causes only mild or moderate symptoms such as fever and cough and the vast majority recover in 2-6 weeks but for some, especially older adults and people with existing health issues, the virus that causes COVID-19 can result in more severe illness, including pneumonia. (AP Photo/Mulugeta Ayene)

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A volunteer provides hand sanitizer to passengers entering a bus as a precaution against the spread of the new coronavirus in the capital Addis Ababa, Ethiopia Wednesday, March 18, 2020. For most people, the new coronavirus causes only mild or moderate symptoms such as fever and cough and the vast majority recover in 2-6 weeks but for some, especially older adults and people with existing health issues, the virus that causes COVID-19 can result in more severe illness, including pneumonia. (AP Photo/Mulugeta Ayene)

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A volunteer disinfects a passenger bus as a precaution against the spread of the new coronavirus in the capital Addis Ababa, Ethiopia Wednesday, March 18, 2020. For most people, the new coronavirus causes only mild or moderate symptoms such as fever and cough and the vast majority recover in 2-6 weeks but for some, especially older adults and people with existing health issues, the virus that causes COVID-19 can result in more severe illness, including pneumonia. (AP Photo/Mulugeta Ayene)

JOHANNESBURG (AP) — Africa should “prepare for the worst” as the coronavirus begins to spread locally, the World Health Organization's director-general said Wednesday, while South Africa became the continent's new focus of concern as cases nearly doubled to 116 from two days before.

South Africa's health minister, Zweli Mkhize, this week called that kind of rate “explosive" in the country with the most cases in sub-Saharan Africa. Fourteen of the latest cases were from local transmission — and six were in children under 10.

Though the pandemic is in its early days on the continent, health experts have warned that even facilities in Africa's richest nation could be overwhelmed by the virus' spread.

“I think Africa should wake up. My continent should wake up,” said WHO chief Tedros Adhanom Ghebreyesus, who comes from Ethiopia.

Crowded conditions in poor areas could lead to even faster transmission, experts say. Countless South Africans continue to pack into commuter trains and minivan taxis. But the annual pilgrimage of the Zion Christian Church, which attracts about 3 million people, was cancelled.

“We have low-income workers who cannot afford to self-isolate or take time off work,” said public health expert Dr. Atiya Mosam, who also worried about the large population without clean water or sanitation or vulnerable from HIV or tuberculosis.

Others asked how a person can self-quarantine in a crowded slum. The continent has several of the world's fastest-growing cities.

Despite widespread calls for “social distancing,” a cashier at a popular pharmacy in Johannesburg confided that some customers found it rude when she suggested they swipe their payment cards themselves to limit contact. Elsewhere in the store a shopper determinedly filled a cardboard box with “anti-germ” soap, and hand sanitizer was out of stock despite calls to stop panic buying.

Also Wednesday, sub-Saharan Africa saw its second death from COVID-19, in Burkina Faso, which has one of the continent’s highest number of cases but has not imposed measures such as closing borders or banning religious services. Sudan previously reported a death.

In Kenya, police said a man accused of having the coronavirus was beaten to death. A police report obtained by The Associated Press said the man was returning home from a night out Wednesday when a group of youth approached and “took advantage of his drunkenness."

In Ethiopia, the U.S. Embassy noted a rise in anti-foreigner sentiment after cases emerged there. “Reports indicate that foreigners have been attacked with stones, denied transportation services, being spat on, chased on foot, and been accused of being infected with COVID-19,” a security alert said.

Africa's most populous country, Nigeria, announced restrictions on the entry of travelers from countries with more than 1,000 coronavirus cases, including China and the U.S., and suspended visas on arrival for their citizens.

Nigeria has had eight cases of the virus, all in people recently arrived from abroad — one of the latest a 6-week-old baby. The country said one of the new patients, an American, had entered via a land border, a first.

Three other African nations announced their first virus cases: Gambia, Zambia and Djibouti. Thirty-three of Africa’s 54 countries now have cases, with a total of at least 529 midday Wednesday.

Somalia, which announced its first case this week, closed schools and universities for two weeks and warned against public gatherings as the country with one of Africa’s weakest health systems tries to stop the virus’ spread.

“This is really a very scary moment,” said Hassan Kafi, a medical student in the capital, Mogadishu. The country has suffered from nearly three decades of conflict.

Uganda, which has no cases, banned travel to the worst-affected countries. It also suspended religious gatherings and restricted the number of people at weddings to 10 in a country known for mass ceremonies.

Health experts from some 20 African nations participated in a video conference with doctors in China on how to contain the virus.

“This is an extremely important step in terms of knowledge share,” said Kenya’s cabinet health secretary, Mutahi Kagwe.

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Mogomotsi Magome in Johannesburg, Tom Odula in Nairobi, Kenya; Elias Meseret in Addis Ababa, Ethiopia; Mohamed Sheikh Nor in Mogadishu, Somalia; Josphat Kasire in Nairobi, Kenya, Rodney Muhumuza in Kampala, Uganda and Sam Mednick in Ouagadougou, Burkina Faso, contributed.

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